case 4 Flashcards
It maintains the anteverted position of the uterus
a. broad ligament
b. round ligament
c. ovarian ligament
d. cardinal ligament
b
Risk factors for pelvic inflammatory disease include the following, except:
a. endocervical infection
b. contraceptives
c. history of saphingitis
d. curettage
b
protective factors: contraceptives and tubal sterilization
It is the chronic manifestation of PID that causes inflammation of the liver capsule
a. acute PID
b. tuboovarian abscess
c. chronic PID
d. fitz-hugh curtis syndrome
d
Diagnostic criteria for acute PID include the following, except:
a. elevated ESR or CRP
b. cervical friability
c. mucopurulent cervical discharge
d. presence of hydrosalpinx
d
acute PID:
▪ Oral temp >38.3C
▪ Mucopurulent cervical discharge
▪ Cervical friability
▪ Abundant WBCs on saline microscopy of cervical secretions
▪ Elevated ESR or CRP
▪ Presence of cervical N. gonorrhoea or C. trachomatis
It is the primary imaging tool in PID
a. CT scan
b. sonography
c. X-ray
d. MRI
b
The following are the recommended parenteral treatment for PID, except:
a. Ceftriaxone 1 g IV every 24 hours PLUS Doxycycline 100 mg orally or IV every 12 hours PLUS Metronidazole 500 mg orally or IV every 12 hours
b. Ceftriaxone 500 mg IM in a single dose* PLUS Doxycycline 100 mg orally 2 times/day for 14 days WITH Metronidazole 500 mg orally 2 times/day for 14 days
c. Cefotetan 2 g IV every 12 hours PLUS Doxycycline 100 mg orally or IV every 12 hours
d. Cefoxitin 2 g IV every 6 hours PLUS Doxycycline 100 mg orally or IV every 12 hours
b
The following are indications for parenteral treatment of PID, except:
a. pregnant
b. high fever
c. uncertain diagnosis
d. women who have HIV
d
It is added to improve anaerobic coverage because anaerobes are believed to play an important role in upper tract infection
a. doxycycline
b. probenecid
c. metronidazole
d. gentamicin
c
It invades columnar and transitional epithelial cells of cervix; spares the vaginal squamous epithelium
a. N. gonorrhoeae
b. C. trachomatis
c. M. genitalium
d. T. vaginalis
a
It is characterized by profuse, odorless, nonirritating, and white-to-yellow vaginal discharge
a. vaginitis
b. cervicitis
c. trichomoniasis
d. cadidiasis
b
